Evershine Care, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

1T3533 Issued in NM

Legal business name

EVERSHINE CARE, LLC

Practice address

4844 Calle Bella Ave
Las Cruces, NM 88012-7066

Phone

(575) 382-5973

NPI assigned

Sep 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ivan Nnamdi Nwaogu, PHARMDNPI 1285041731

Title

Administrator

Phone

(575) 382-5973

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 32G060

Legal name

Evershine Care Calle Bella

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 3, 2016

Last certification

Jul 22, 2025

Beds

5

Ownership / control type

Private (non-profit)

Facility address

4844 Calle Bella Avenue
Las Cruces, NM 88012

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Nwaogu

  • Pharmacist
  • Las Cruces, NM
  • NPI 1285041731
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1043688088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 CALLE BELLA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127066",
            "telephone_number": "575-382-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 CALLE BELLA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127066",
            "telephone_number": "575-382-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "NWAOGU",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-382-5973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NM",
            "license": "1T3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Taylor Evett, PA-C
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• Donna Evrage
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• Joseph Graham Ewing, M.D.

• Intellectual Disabilities Intermediate Care Facility in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Intellectual Disabilities Intermediate Care Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.